- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.56 / $85.68 / $2,080.65
| Facility | | $7.56 | $85.68 | $2,080.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.11 / $46.78 / $646.40
| Professional | | $5.11 | $46.78 | $646.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.65 / $6.64 / $2,894.85
| Facility | | $5.65 | $6.64 | $2,894.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.67 / $5.49 / $8,639.91
| Facility | | $4.67 | $5.49 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $5.25 / $5.25
| Professional | | $5.25 | $5.25 | $5.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.76 / $5.05 / $5.05
| Facility | | $4.76 | $5.05 | $5.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $5.05 / $5.05
| Professional | | $5.05 | $5.05 | $5.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.02 / $200.42 / $582.77
| Facility | | $27.02 | $200.42 | $582.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.65 / $6.45 / $2,779.40
| Facility | | $5.65 | $6.45 | $2,779.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.89 / $91.80 / $2,206.05
| Facility | | $7.89 | $91.80 | $2,206.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.11 / $32.72 / $359.84
| Professional | | $5.11 | $32.72 | $359.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.76 / $5.05 / $5.05
| Facility | | $4.76 | $5.05 | $5.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $5.05 / $5.05
| Professional | | $5.05 | $5.05 | $5.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.14 / $11.14 / $12.93
| Facility | | $11.14 | $11.14 | $12.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.14 / $11.14 / $12.93
| Professional | | $11.14 | $11.14 | $12.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $5.36 / $57.79
| Professional | | $5.05 | $5.36 | $57.79 |